Abdominoperineal Resection cost in South Africa

Abdominoperineal Resection is a surgery for Rectal Cancer or Anal Cancer. When cancer is located very low in the rectum or the anus, a surgery needs to be performed to remove the anus, rectum, and sigmoid colon to cure, that process is called as Abdominoperineal Resection. 

Ones they are removed a permanent colostomy gets created to pass out the waste from the body. This is done by an incision in the abdominal section of human anatomy. The extent of removal is directly proportional to the amount of damage caused.

Ideal Candidate for Abdominoperineal Resection

The patients who are suffering from the tumor of the lower section of the digestive system may notice some symptoms which could be a signal of rectal cancer such as changes in bowel habits, changes in stool consistency, blood in the stool and abdominal discomfort. 

Diverticulitis is yet another reason which causes the doctors to decide to operate on a patient and perform abdominoperineal resection. This is an extreme measure taken by any doctor and the complications are quite a lot.

Most people do not have such a diseased condition that cannot be treated by the usual medicinal means. But in severe conditions, the surgery is required for the living of the patient.

Factors affecting the cost of Abdominoperineal Resection 

Below mentioned are the factors affecting Abdominoperineal Resection cost (APR):

  • Healthcare Complications in Patients
  • Type of Surgery required, Laparoscopic APR or Open APR Surgery
  • Choice of Hospital
  • Location of Hospital
  • Surgeons’ Fee
  • Medical Care
  • Duration of Stay
Treatment and Cost

21

Total Days
In Country

2 No. Travelers

5 Day in Hospital

16 Days Outside Hospital

Treatment cost starts from

USD 37500

Hospitals

About the Abdominoperineal Resection

Abdominoperineal resection (APR) is a type of a surgery in which the anus, rectum, and sigmoid colon are removed through small cuts in the belly. It is a surgical procedure done primarily to remove the cancer of the rectum. Typically, abdominoperineal resection (AP) is conducted as an elective procedure. This procedure is most often used to treat rectum cancer if it is located very low in the rectum or in the anus, close to the sphincter muscles.

Nowadays, advanced surgical techniques and other treatment modalities have brought an increase in the rate of sphincter-sparing operations. However, APR surgery is still necessary in selected cases, especially if the patient has distal tumors or poor sphincter function.  AP resection is a major operation. During perineal resection, the rectum, distal colon, and anal sphincter complex are completely removed using both anterior abdominal and perineal incisions. Once the anus and rectum are removed, a permanent colostomy is needed to complete the procedure.

Colostomy brings the colon to an opening at the surface of the skin, which allows the waste to pass out of the body. This new opening is called stoma and usually measures from one to one-and-a-half inches in diameter. A pouch, or a stoma appliance, is needed to be worn at all times. The stoma has no sphincter muscles, so there is no conscious control over the elimination of waste products from the body after the procedure.

How is Abdominoperineal Resection performed?

  • APR surgery starts with the administration of general anaesthesia. This ensures that patient remains asleep during the perineal resection.
  • Then the surgeon makes a small cut near the belly button and inserts a laparoscope. A laparoscope has a tiny camera on one end. It is inserted through the cut so so that the inside can be seen.
  • Once the laparoscopic camera is in the abdomen, the surgeon makes two to five more small cuts in the abdomen.
  • Surgical instruments are inserted through ports placed on these cuts.
  • The surgeon completes several steps before removing the rectum, anus, and sigmoid colon.
  • The surgeon releases the sigmoid colon and rectum from their attachment to the surrounding structures after dividing the main blood vessels that serve the tumour sections of the bowel.
  • The sigmoid colon is separated from the remaining large intestine after the separation.
  • After the sigmoid colon and rectum are removed, the surgeon operates perineal region to cut away the anus.
  • Finally, the anus, rectum, and sigmoid colon are completely removed from the body.
  • After perineal resection, the surgeon creates the stoma. It is known as a colostomy. The stoma is made from one of the surgical cuts usually placed on the left side of the abdomen.
  • To create a stoma, the surgeon removes a small disk of skin from the area around the cut.
  • The open end of the colon is pulled through the cut on the surface of the skin.
  • The surgeon then stitches the stoma in the place and the abdominal cavity is rinsed out.
  • A small drainage tube is inserted into one of the lower surgical cuts. This drainage tube will promote healing of the tissue inside the abdomen.
  • Finally, the surgeon carefully inspects inside the abdominal cavity and the stitches are used to close the cuts.

Recovery from Abdominoperineal Resection

Recovery of the patient depends on individual circumstances and general health of the patient. A patient may be required to stay in the hospital for three to seven days. However, some patients may need more time to recover.

You can walk and stand on the first day after AP resection and resume most of the usual activities shortly after the surgery. In fact, increased activity reduces the risk of blood clots and also improves breathing. A physical therapist will often visit you during your hospital stay and will help regain your strength after the surgery. After getting discharged from the hospital, avoid lifting more than 5 to 10 pounds for 4 weeks, as this allows the incisions to heal. It also decreases the risk of developing a hernia.

Patient Stories

Frequently Asked Questions

How much does Abdominoperineal Resection cost in South Africa?

The cost of Abdominoperineal Resection in South Africa starts from $37500. Abdominoperineal Resection in South Africa is available across many hospitals in different states.

What are the factors affecting the cost of Abdominoperineal Resection in South Africa?

Abdominoperineal Resection cost in South Africa varies from one hospital to the other. The top hospitals for Abdominoperineal Resection in South Africa covers all the expenses related to the pre-surgery investigations of the candidate. The comprehensive Abdominoperineal Resection package cost includes the cost of investigations, surgery, medicines and consumables. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Abdominoperineal Resection in South Africa.

Which are some of the best hospitals in South Africa for Abdominoperineal Resectiont?

Abdominoperineal Resection in South Africa is offered by multiple hospitals across the country. The top hospitals for Abdominoperineal Resection in South Africa include the following:

  1. Ahmed Kathrada Private Hospital
  2. Life Kingsbury Hospital
How many days does it take to recover post Abdominoperineal Resection in South Africa?

The recovery of the patient many vary, depending on several factors. However, on an average, patient is supposed to stay for about 21 days in the country after discharge. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.

Which are some of the other popular destinations for Abdominoperineal Resection?

South Africa is undoubtedly one of the best countries for Abdominoperineal Resection in the world. It offers the best medical expertise and good patient experience at an affordable cost. However, there are other countries as mentioned below that are popular for Abdominoperineal Resection as well:

CountryCost
CzechiaUSD 13500
GreeceUSD 37500
IndiaUSD 6500
IsraelUSD 30000
LebanonUSD 37500
Saudi ArabiaUSD 37500
SingaporeUSD 37500
South AfricaUSD 37500
South KoreaUSD 37500
SwitzerlandUSD 37500
ThailandUSD 15000
TunisiaUSD 37500
TurkeyUSD 9000
United Arab EmiratesUSD 15000
United KingdomUSD 37500
How much are the other expenses in South Africa apart from the cost of Abdominoperineal Resection?

There are certain additional cost that the patient has to pay apart from the Abdominoperineal Resection cost. The per day extra expenses in South Africa per person are about USD 50 per person.

Which are the best cities in South Africa for Abdominoperineal Resection Procedure?

There are many cities that offer Abdominoperineal Resection in South Africa, including the following:

  1. Cape Town
  2. Johannesburg
  3. Durban
  4. Lenasia
How many days does one have to spend in the hospital for Abdominoperineal Resection in South Africa?

After the Abdominoperineal Resection takes place, the average duration of stay at the hospital is about 5 days. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

What is the average rating of Hospitals in South Africa offering Abdominoperineal Resection?

The average rating for Abdominoperineal Resection hospitals in South Africa is 2.9. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.

How many hospitals offer Abdominoperineal Resection in South Africa?

There are more than 2 hospitals that offer Abdominoperineal Resection in South Africa. The above listed clinics are approved to perform the surgery and have proper infrastructure to handle Abdominoperineal Resection patients. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in South Africa

Who are the best doctors for Abdominoperineal Resection in South Africa?

Some of the most sought after medical specialists for Abdominoperineal Resection in South Africa are:

  1. Dr. Nirasha Chiranjan
  2. Dr. Ronelle De Villiers
  3. Dr. Koos Bouwer
  4. Dr. Bernard Donde
  5. Dr. Omondi Ogude
  6. Dr. Sudeshen Naidoo

FAQ's Related to South Africa

Which are the popular multispecialty hospital groups in South Africa?

South Africa has several top-quality hospitals, such as:

  1. Ahmed Al-Kadi Private Hospital
  2. Busamed Hillcrest Private Hospital
  3. Busamed Gateway Private Hospital
  4. Busamed Modderfontein Private Hospital
  5. Busamed Lowveld Hospital
  6. Lenmed Ethekwini Hospital and Heart Centre
  7. Busamed Paardevlei Private Hospital
  8. Life Bay View Private Hospital
  9. Lenmed Shifa Hospital

These hospitals have taken the patient experience to the next level by ensuring the below things:

  1. Providing clear information about medicines to patients
  2. Effective engagement between nursing staff/doctors and patients;
  3. Suitability of the hospital environment for meeting the needs of patients
  4. Effectively managing pain.

South Africa is known to have strict government regulations for controlling the quality of care provided by the government and private hospitals. The patient-centric hospitals are equipped with superior infrastructure, high-tech medical equipment, and highly trained and qualified doctors, providing a unique patient experience.

What healthcare accreditation standards are followed in South Africa?

In South Africa, the healthcare system is bound to follow standards set by the Joint Commission International (JCI) and Council for Health Service Accreditation of Southern Africa (COHSASA). In order to ensure coordinated and integrated care is provided by healthcare facilities, COHSASA sets and assesses standards for all sectors and departments of a healthcare system. COHSASA, JCI, and SafeCare Foundation have come together to launch the SafeCare program to implement internationally recognized standards to improve health care delivery. Clinics and Hospitals that comply with standards are initially given two-year accreditations and this period is extended if they are consistent in providing quality care.

Why should I opt for healthcare in South Africa?

Affordable healthcare and superior infrastructure are the main reasons for the popularity of South Africa in the medical tourism sector. South Africa has become the epicenter of medical tourism because of several other reasons like advanced technology, several facilities provided by hospitals, doctors trained abroad, and a large pool of accredited hospitals. South Africa’s recent advancement in stem cell therapy has made it one of the most preferred countries for seeking advanced medical treatment. The hospitals in South Africa aim to destress your medical holiday by dealing with all of the organization and administrative tasks, as well as provide intensive care and assistance on a 24/7 basis.

How is the quality of doctors in South Africa?

The doctors in South Africa strive to provide quality treatment utilizing their deep subject knowledge and hands-on experience in handling various complex cases. Many doctors in South Africa receive their training in foreign countries like Australia and Cuba which provide them global exposure and make them more competent in handling cases with high precision and accuracy. The doctors have reported a high success rate in dental procedures and fertility treatments. The high quality of doctors in the country is attributed to factors like their patient-centric approach, incorporation of the human touch in treatment, education at reputed colleges, and adherence to global standards.

How to obtain a medical visa in South Africa?

You can avail a medical visa to South Africa and stay in the country for 90 days to seek treatment. Further extension of the duration of the stay is decided by the High Commission of the country where the patient belongs from. Anyone willing to stay in the country for longer than 3 months needs to apply for a temporary residency permit. An application for a visa is not accepted more than 30 days prior to departure and the validity of a visa begins from the date of issue by the Consulate of India in South Africa and not from the date of travel. You need to produce the below documents to apply for a medical visa:

  1. Passport
  2. Passport-sized photographs
  3. Online Application form
  4. Full return flight reservation
  5. Proof of stay in South Africa
  6. Signed official medical letter from medical institution
  7. Signed medical letter from a recognized local practitioner
What are the popular procedures available in South Africa?

South Africa is known to offer some procedures with high success rates, such as total knee replacement, meniscus repairs, hip replacement, anterior cruciate ligament (ACL) reconstruction. Some other procedures which have gained popularity in South Africa are cosmetic surgery and infertility treatment. Egg donation program is available at the majority of fertility clinics and you can opt for a surgical or non-surgical procedure, with quite low waiting times. Low-cost treatment, fast recovery, use of advanced medical technology, and highly trained doctors are some of the reasons for the popularity of these procedures.

Which are the most popular cities in South Africa for medical treatment?

The top-ranked cities that are most preferred by medical tourists in South Africa are Cape Town, Johannesburg, Pretoria, and Durban. Cape Town is the medical tourism hub visited by a large number of people from different ethnicity and cultures due to world-class doctors and state-of-the-art hospitals. The reasons for the popularity of these cities are multiple food options, connectivity through airlines, and cheap accommodation. Johannesburg’s healthcare system is on par with Great Britain and the city’s public and private healthcare industry works closely with South Africa's medical schools to create internationally recognized medical specialists.

Is it mandatory to take vaccinations before going to South Africa?

Yes, vaccination is compulsory before visiting South Africa. The vaccines recommended by WHO and the National Travel Health Network and Centre are Rabies and tetanus, hepatitis B, typhoid, cholera, Yellow fever, hepatitis A. Infants of 6 to 11 months old are at greater risk of contracting measles, so they must get MMR vaccine before travelling to South Africa. Typhoid vaccine is recommended for most travellers, especially those staying with friends or relatives or visiting smaller cities or rural areas. Vaccination guidelines change with time, so keep yourself updated with the travel advisory released by the government. You can also check with doctors or hospitals in South Africa for the required vaccines.